<unavail> in Louisville, MS - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Louisville, Mississippi. The current practice location for is 14130 Highway 15 S Ste D, Louisville, Mississippi. For appointments, you can reach them via phone at (662) 779-1175. The mailing address for is 2701 Davis St, Meridian, Mississippi and phone number is (601) 693-0118.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1770680019. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (662) 779-1175.

Contact Information


	14130 Highway 15 S Ste D Louisville MS 39339-6452
	(662) 779-1175
	(844) 778-8922

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	14130 Highway 15 S Ste D, Louisville, Mississippi
Authorized Official Name and Position	Wilbert L. Jones (CEO)
Authorized Official Contact	6016930118
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2701 Davis St Meridian MS 39301-5708 Ph: (601) 693-0118	14130 Highway 15 S Ste D Louisville MS 39339-6452 Ph: (662) 779-1175

NPI Details:

NPI Number	1770680019
Provider Enumeration Date	09/20/2006
Last Update Date	05/03/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	9032027834
Medicare Enrollment ID	O20101203000590

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770680019	NPI	-	NPPES
009015060	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Louisville, MS

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Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16569 W Main St, Louisville, MS 39339 Phone: 662-773-5704 Fax: 662-773-9463
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Louisville Medical Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 564 E Main St, Louisville, MS 39339 Phone: 662-773-7500 Fax: 662-779-5006
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14724 Highway 15 N, Louisville, MS 39339 Phone: 662-773-7500
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 E Main St, Louisville, MS 39339 Phone: 662-779-5150 Fax: 662-779-5154

- Medicare Primary Care in Louisville, MS